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Text File  |  1992-12-02  |  2KB  |  72 lines
  1.  
  2.  
  3.                               Registration Form
  4.  
  5.   Send this completed form, along with check or money order for proper
  6.   amount (US funds only) to:
  7.  
  8.                              UP Technologies, Inc.
  9.                           917 S. Division St., Ste. B
  10.                              Salisbury, MD  21801
  11.  
  12.                          (Please note our new address.)
  13.  
  14.   ITEM                                                                PRICE
  15.   ---------------------------------------------------------------------------
  16.  
  17.   Check program(s) desired:
  18.  
  19.   [  ] Easy Quote v2.0                                                 $10
  20.  
  21.   [  ] List-A-Board  v1.0                                              $ 5
  22.  
  23.   [  ] The Stats Machine v2.12                                         $10
  24.  
  25.   [  ] Speak Up v2.0                                                   $10
  26.  
  27.   [  ] Traffic Report v1.0                                             $ 5
  28.  
  29.   [  ] TSTAT v1.10                                                     $ 5
  30.  
  31.  
  32.   Disk Format (choose one):    5.25"______     3.5"______
  33.  
  34.  
  35.                                                       5% Sales Tax  $________
  36.                                                     (MD Residents)
  37.  
  38.                                                           Subtotal  $________
  39.  
  40.  
  41.                                                              Total  $________
  42.  
  43.  
  44.            Please make checks payable to: UP Technologies, Inc.
  45.  
  46.                    (Sorry, no COD or credit card orders.)
  47.  
  48.          Ship To:
  49.  
  50.          Name: ____________________________________________________
  51.  
  52.          Address: _________________________________________________
  53.  
  54.          City: ____________________________________________________
  55.  
  56.          State:___________________        Zip Code:________________
  57.  
  58.  
  59.  
  60.          BBS NAME: ________________________________________________
  61.  
  62.          BBS PHONE: (____)-________________
  63.          
  64.  
  65.          Questions/Comments _______________________________________
  66.  
  67.          __________________________________________________________
  68.  
  69.          __________________________________________________________
  70.  
  71.          __________________________________________________________
  72.